Windy is right on the money with this one. I also live alone and plunged in at the full .80 dose right from the get-go and had some heart palpitations and BP drop that scared me. Windy had suggested the lower dose to start allowing my body to acclimate if you will. I told my Rheumatologist this is what I would do making certain I could tolerate the medication. I am finishing up my first month and have gone from .20 to .60. Very manageable. Living alone the fear of falling and NOT doing anything to improve bone health out weighed living alone and managing the side effects of Tymlos. Go slow and let us know how you do!